How has the traditional radiology resident readout evolved in the post-pandemic era?

In this week's episode, Maddi and Jeff are joined by Shanna Matalon, MD, Sophia O'Brien, MD MSEd, and Scott Simpson, MD MSEd to talk about what trainees and faculty really think about side-by-side, remote, and asynchronous readouts, why feedback gaps persist, and how programs can improve the educational experience in hybrid environments. A must-listen for anyone involved in radiology training!

Find the JACR article here: https://shorturl.at/NOjj2

Claim your CME here: https://cortex.acr.org/Presenters/CaseScript/CaseView?Info=6U95sEWo3jaJM3JERvUep1s27mel6%2b%2bZUPcxFIuv1ms%253d

When USMLE Step 1 went pass/fail, the goal was to lower stress and level the playing field. Instead, it may have just moved the goalposts.

In this week's episode, Ruth Carlos, MD, MS, FACR and Megan Worthington, MS join Maddi and Jeff to talk about how the change to pass/fail for the USMLE Step 1 examination has reshaped the residency match - especially for competitive specialties like radiology. Although the move to pass/fail was supposed to fix student stress, it instead shifted the spotlight (and pressure) to Step 2, school prestige, and the alphabet soup of rankings.

Find the JACR article here: https://pubmed.ncbi.nlm.nih.gov/40541763/

Women make up half of the medical school graduates, but only a quarter of radiology residents.

In this episode, Maddi and Jeff are joined by Amy Patel, MD and Shiva Yagobian, BS to go beyond the statistics and explore the social, institutional, and policy-level barriers that shape the "leaky pipeline" from training to leadership. Whether you're a trainee wondering where all the women in leadership are - or a department leader looking to make real, sustainable change - this episode offers both the data and the direction to help close the gap.

Find the JACR article here: https://pubmed.ncbi.nlm.nih.gov/40216284/

As health systems and radiology practices continue to consolidate, education often ends up as collateral damage.

In this episode, Charlotte Taylor, MD joins Jeff and Maddi to discuss how radiology educators can adapt - and even thrive - when clinical demands and financial pressures are rising. From incentive scorecards and creative teaching models to intentional early resource allocation to enable tailored training, this conversation explores practical, scalable ways to preserve excellence in training the next generation of radiologists.

Find the JACR article here: https://pubmed.ncbi.nlm.nih.gov/40543532/

Claim your CME here: https://shorturl.at/LVxwh

What happens when hackers meet PACS? Nothing good for patient care.

Join us this week as Maddi and Jeff get insight from Po-Hao Chen, MD, MBA and Christoph Wald, MD, PhD, MBA on their brand-new ACR-SIIM white paper on radiology cybersecurity. We will explore ransomware, downtime drills, and the unglamorous but essential world of cyberhygiene.

Read the full JACR manuscript: https://www.jacr.org/article/S1546-1440(25)00409-0/fulltext

Want more cybersecurity resources? Visit: https://www.acr.org/Data-Science-and-Informatics/Informatics/cybersecurity-resources

Do labor unions really change the residency experience - or just the perception of it?

This week, Maddi and Jeff explore radiology residents' perspectives on labor union participation with Erica Kinne, MD, Elliot Varney, MD, PhD, and Lars Grimm, MD based on their most recent research. From vacation days and housing stipends to duty hours and wellness, radiology residents weighed in on both the perks and pitfalls of unionization.

Find the original JACR article here: https://www.jacr.org/article/S1546-1440(25)00203-0/fulltext

How can multidisciplinary teams improve lung cancer screening? What are the primary barriers to lung cancer screening and how can they be addressed?

In this week's episode, Maddi and Jeff catch up with Lauren Groner, DO, MS and Rishikesh Dalal, MD, MPH about their research that used behavioral and implementation science to better understand lung cancer screening barriers and develop a strategy to increase screening rates. Their team also developed LungCheck.org to help serve as a hub of information for both providers and patients!

Claim your CME here: https://shorturl.at/6qr97

Find the JACR original article here: https://www.jacr.org/article/S1546-1440(24)00999-2/fulltext

Are radiologists following the playbook on what to do next when there is an incidental adrenal nodule on a lung cancer screening CT?

Maddi and Jeff interview Aparna Singh, MD about her new study that shows radiologists aren't exactly consistent in handling these unexpected findings - sometimes over-reacting, sometimes under-reacting, and often skipping an important lab test entirely. There is also a special guest appearance by Jared Christensen, MD, MBA and his expert insight on the S modifier.

Find the JACR original article here: https://pubmed.ncbi.nlm.nih.gov/40044307/

Inappropriate medical imaging results in low-value, excess imaging - but what about the environmental impact?

Maddi and Jeff sit down with Gregory Cavanagh, MD, Julia Schoen, MD, MS, and Elizabeth Rula, PhD to discuss how their study estimated excess green house gas emissions that are associated with inappropriate medical imaging in the Medicare Part B population from 2017 to 2021.

Find the JACR article here: https://pubmed.ncbi.nlm.nih.gov/40152841/

Get your CME here: https://cortex.acr.org/Presenters/CaseScript/CaseView?Info=RTWVsH3pWR4iYbD5FO37fw305omFBCsKOef8Wr0foV4%253d

The incidental finding of hepatic steatosis on imaging may present an avenue for opportunistic screening, leading to more efficient identification of metabolic dysfunction-associated steatotic liver disease (MASLD) and risk prediction for fibrosis. How can radiologists best facilitate this?

In this episode, Maddi and Jeff sit down with Emily Schonfeld, MD and Andrea Siobhan Kierans, MD to discuss their recent review article about recommendations for when hepatic steatosis is found on imaging and subsequent noninvasive tests to help predict overall fibrosis staging.

Find the JACR article here: https://pubmed.ncbi.nlm.nih.gov/40044315/